Notification of Concern Form

NOTE: The Notification of Concern form is for CPSA regulated member use only, as they are required to follow this standard of practice. Concerns from others must be submitted as a complaint. Please visit the Complaints page for more information.

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Name*

First Last

Email*

This is the email address we will send a submission confirmation notification to.

Enter Email Confirm Email

Phone*

What is your preferred method for us to contact you?*

Phone

What is your preferred contact time?*

Tell us a bit about your concern:*

Please provide some high-level details about your concern. You do not need to get into specific detail at this point.

Innovation at CPSA

We are the only medical regulator in Canada with an in-house Analytics, Innovation & Research (AIR) team. Learn how CPSA's regulatory-based research supports quality medical practice.